Revision of infected hip replacement: Two-stage procedure with a temporary gentamicin spacer
نویسندگان
چکیده
منابع مشابه
Impaction grafting of the femur in two-stage revision for infected total hip replacement.
We report the mid-term results of femoral impaction grafting which was used in 53 patients during the second stage of a two-stage revision for an infected total hip replacement. We reviewed all cases performed between 1989 and 1998. All patients underwent a Girdlestone excision arthroplasty, received local and systemic antibiotics and subsequently underwent reconstruction, using femoral impacti...
متن کاملThe two-stage standard in revision total hip replacement.
Two-stage exchange remains the gold standard for treatment of peri-prosthetic joint infection after total hip replacement (THR). In the first stage, all components and associated cement if present are removed, an aggressive debridement is undertaken including a complete synovectomy, and an antibiotic-loaded cement spacer is put in place. Patients are then treated with six weeks of parenteral an...
متن کامل2-stage revision of 120 deep infected hip and knee prostheses using gentamicin-PMMA beads
Background and purpose - A 2-stage revision is the most common treatment for late deep prosthesis-related infections and in all cases of septic loosening. However, there is no consensus about the optimal interval between the 2 stages. Patients and methods - We retrospectively studied 120 deep infections of total hip (n = 95) and knee (n = 25) prostheses that had occurred over a period of 25 yea...
متن کاملOne stage uncemented revision of infected total hip replacement using cancellous allograft bone impregnated with antibiotics.
Infection of a total hip replacement (THR) requires component removal and thorough local debridement. Usually, long-term antibiotic treatment in conjunction with a two-stage revision is required. This may take several months. One-stage revision using antibiotic-loaded cement has not gained widespread use, although the clinical and economic advantages are obvious. Allograft bone may be impregnat...
متن کاملTreatment for periprosthetic infection with two-stage revision arthroplasty with a gentamicin loaded spacer. The clinical outcomes.
BACKGROUND With the increasing number of total joint replacement procedures, the number of complications from that surgery has also been on the rise. Although quite rare (<1%), a PPI may ruin even the best and technically excellent joint replacement procedure, causing extensive damage and loss of bone and periprosthetic tissues, which makes subsequent restoration surgery extremely difficult. At...
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ژورنال
عنوان ژورنال: Acta Orthopaedica Scandinavica
سال: 1994
ISSN: 0001-6470
DOI: 10.3109/17453679408993707